European Journal of Clinical and Biomedical Sciences

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Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country

Received: Nov. 19, 2019    Accepted: Dec. 09, 2019    Published: Dec. 30, 2019
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Abstract

Abdominal or pelvic ectopic spleen or wandering spleen or drifting spleen is extremely rare. It is a consequence of congenital or acquired laxity of this organ’s attachment to the diaphragmatic dome, especially the suspensor ligament. The authors report a new typical case of this pathology in a 27-year-old woman, having came to consultation for painfull pelvic mass in the Joseph Ravoahangy Andrianavalona University Hospital Center in Antananarivo Madagascar, which is a precarious country. The positive diagnostic of this pathology and its surgical approach are often limited by the locally available tools and the financial accessibility of the patient to them. Ultrasonography and Computed Tomography imaging show the emptiness of the splenic lodge, localize the spleen with its size, and precise its vascularisation’s pathway. The symptoms are naturally latent until complication appears. Surgery is more formally indicated in case of complication or because of the risk of confusion with parasitic splenomegaly which has a high prevalence in a tropical country as Madagascar. Splenopexy can exposes to more recurrences, systemacic splenectomy can expose to risks of more postoperative infection even it is more practiced. As proposed in the literature, laparoscopy could and should be developed because it does not have any eventful recovery.

DOI 10.11648/j.ejcbs.20190506.14
Published in European Journal of Clinical and Biomedical Sciences ( Volume 5, Issue 6, December 2019 )
Page(s) 89-91
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Diagnostic Imaging, Ectopic Spleen, Wandering Spleen, Surgical Approach, Precarious Country

References
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[4] McSwain JR, Doty JW, Wilson SW. Regional anesthesia in patients with pre-existing neurologic disease. Curr Opin Anesthesiol 2014; 27: 538-543.
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[7] Chin KJ, Malhas L, Perlas A. The Erector Spinae Plane Block Provides Visceral Abdominal Analgesia in Bariatric Surgery. Reg Anesth Pain Med 2017; 42: 372-376.
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[9] Block BM, Liu SS, Rowlingson AJ, et al. Efficacy of Postoperative Epidural Analgesia: A Metanalysis. JAMA 2003; 290: 2455-2463.
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  • APA Style

    Solonirina Davidà Rakotomen, Narindra Njarasoa Mihaja Razafimanjato, Kanto Adrienne Razafindraibe, Auberlin Felantsoa Rakototiana, Hery Nirina Rakoto-Ratsimba. (2019). Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country. European Journal of Clinical and Biomedical Sciences, 5(6), 89-91. https://doi.org/10.11648/j.ejcbs.20190506.14

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    ACS Style

    Solonirina Davidà Rakotomen; Narindra Njarasoa Mihaja Razafimanjato; Kanto Adrienne Razafindraibe; Auberlin Felantsoa Rakototiana; Hery Nirina Rakoto-Ratsimba. Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country. Eur. J. Clin. Biomed. Sci. 2019, 5(6), 89-91. doi: 10.11648/j.ejcbs.20190506.14

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    AMA Style

    Solonirina Davidà Rakotomen, Narindra Njarasoa Mihaja Razafimanjato, Kanto Adrienne Razafindraibe, Auberlin Felantsoa Rakototiana, Hery Nirina Rakoto-Ratsimba. Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country. Eur J Clin Biomed Sci. 2019;5(6):89-91. doi: 10.11648/j.ejcbs.20190506.14

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  • @article{10.11648/j.ejcbs.20190506.14,
      author = {Solonirina Davidà Rakotomen and Narindra Njarasoa Mihaja Razafimanjato and Kanto Adrienne Razafindraibe and Auberlin Felantsoa Rakototiana and Hery Nirina Rakoto-Ratsimba},
      title = {Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country},
      journal = {European Journal of Clinical and Biomedical Sciences},
      volume = {5},
      number = {6},
      pages = {89-91},
      doi = {10.11648/j.ejcbs.20190506.14},
      url = {https://doi.org/10.11648/j.ejcbs.20190506.14},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ejcbs.20190506.14},
      abstract = {Abdominal or pelvic ectopic spleen or wandering spleen or drifting spleen is extremely rare. It is a consequence of congenital or acquired laxity of this organ’s attachment to the diaphragmatic dome, especially the suspensor ligament. The authors report a new typical case of this pathology in a 27-year-old woman, having came to consultation for painfull pelvic mass in the Joseph Ravoahangy Andrianavalona University Hospital Center in Antananarivo Madagascar, which is a precarious country. The positive diagnostic of this pathology and its surgical approach are often limited by the locally available tools and the financial accessibility of the patient to them. Ultrasonography and Computed Tomography imaging show the emptiness of the splenic lodge, localize the spleen with its size, and precise its vascularisation’s pathway. The symptoms are naturally latent until complication appears. Surgery is more formally indicated in case of complication or because of the risk of confusion with parasitic splenomegaly which has a high prevalence in a tropical country as Madagascar. Splenopexy can exposes to more recurrences, systemacic splenectomy can expose to risks of more postoperative infection even it is more practiced. As proposed in the literature, laparoscopy could and should be developed because it does not have any eventful recovery.},
     year = {2019}
    }
    

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    AU  - Narindra Njarasoa Mihaja Razafimanjato
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    JF  - European Journal of Clinical and Biomedical Sciences
    JO  - European Journal of Clinical and Biomedical Sciences
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    AB  - Abdominal or pelvic ectopic spleen or wandering spleen or drifting spleen is extremely rare. It is a consequence of congenital or acquired laxity of this organ’s attachment to the diaphragmatic dome, especially the suspensor ligament. The authors report a new typical case of this pathology in a 27-year-old woman, having came to consultation for painfull pelvic mass in the Joseph Ravoahangy Andrianavalona University Hospital Center in Antananarivo Madagascar, which is a precarious country. The positive diagnostic of this pathology and its surgical approach are often limited by the locally available tools and the financial accessibility of the patient to them. Ultrasonography and Computed Tomography imaging show the emptiness of the splenic lodge, localize the spleen with its size, and precise its vascularisation’s pathway. The symptoms are naturally latent until complication appears. Surgery is more formally indicated in case of complication or because of the risk of confusion with parasitic splenomegaly which has a high prevalence in a tropical country as Madagascar. Splenopexy can exposes to more recurrences, systemacic splenectomy can expose to risks of more postoperative infection even it is more practiced. As proposed in the literature, laparoscopy could and should be developed because it does not have any eventful recovery.
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Author Information
  • Department of Visceral Surgery, Joseph Ravoahangy Andrianavalona University Hospital Center, Antananarivo, Madagascar

  • Department of Thoracic Surgery, Joseph Ravoahangy Andrianavalona University Hospital Center, Antananarivo, Madagascar

  • Department of Medical Imaging, Joseph Ravoahangy Andrianavalona University Hospital Center, Antananarivo, Madagascar

  • Department of Urology, Joseph Ravoahangy Andrianavalona University Hospital Center, Antananarivo, Madagascar

  • Department of Visceral Surgery, Joseph Ravoahangy Andrianavalona University Hospital Center, Antananarivo, Madagascar

  • Section